Data show that IgA Nephropathy has been on the rise in the past 10 years. As the age of onset of the disease is in the range of 20-40 years, more than 30% of patients will progress to end-stage renal disease (ESRD or uremia) within 5 to 25 years of onset. How to prevent or delay the occurrence of uremia? Here I will give you 6 recommendations.
1. Have a clear mind of the pathological condition.
The diagnosis of IgA nephritis generally requires renal biopsy. If pathology suggests glomerulosclerosis, renal tubular atrophy, interstitial inflammation and fibrosis, and vascular sclerosis, it often indicates obvious chronic disease, which is inevitable to develop into end-stage renal failure. If the pathology shows obvious glomerular mesangial proliferation, cell crescent, vasculitic changes, and tubulointerstitial inflammatory cell infiltration, it indicates pathological activity and needs active treatment to prevent renal disease progression and save renal function.
2. Avoid drug abuse
Reasonable drug treatment is necessary, but must be carried out under the guidance of specialist doctor. Do not take folk prescription casually, which may cause further kidney damage.
3. Control blood pressure and proteinuria
Strict control of hypertension and proteinuria has an almost decisive effect on the prognosis of patients with IgA Nephropathy. Clinical experience showed that patients who failed to pay attention to proteinuria and hypertension treatment had the fastest rate of renal deterioration. In clinical trials, IgA Nephropathy is mainly manifested by occult blood, but some patients show proteinuria, even more than 2+ in urine routine. Proteinuria is an important risk factor for renal disease progression and poor prognosis, so it should be actively treated.
4. Prevent infection
In clinic, most of IgA Nephropathy is related to infection. If the patient is infected, including upper respiratory tract, gastrointestinal system, urinary system, etc., it will cause renal diseases, aggravate nephritis constantly, and bring greater threat to the health of the patient. Tonsillitis is especially common.
5. Pay attention to regular follow-up
No matter what the condition is, regular follow-up is required, and the medication regimen should be continuously adjusted under the close guidance of doctors to reduce or avoid side effects. Especially the person that uses immunosuppressant to treat, should do so. Besides, you should prevent the occurrence of infection. If the symptoms such as fever, cough appear, you should go to see a doctor as early as possible in case that it causes further kidney damage.
6. Pay attention to the combination of diet and rest
Food therapy is of great significance for the treatment of CKD. It is no exception to IgA Nephropathy. For people with normal renal function, it is only required to follow a balanced diet, food hygiene, more fresh vegetables and fruits and sufficient protein supplement. For patients with renal dysfunction or hypertension, it is required to reduce salt intake. According to the condition of kidney damage, to control protein intake. And you need to do regular checkups to check nutrient condition so as to avoid malnutrition and hypernutrition. Fatigue is also an important factor in the progression of kidney disease. Clinically, some patients often do not have a good rest after illness, work overtime, stay up, travel, have excessive entertainment and so on, those result in low immunity and rapid progress of the disease.
The above are 6 recommendations to prevent or delay the occurrence of uremia for IgA Nephropathy. For more information on IgA Nephropathy, please leave a message below or contact online doctor.